SAHAR M SHAFEY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****56

License Status

NOT RENEWED

Business

First Name

SAHAR M

Last Name

SHAFEY

Business Name

SAHAR M SHAFEY

Original Issue Date

02/11/1991

Effective Date

02/11/1991

Expiration Date

07/31/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006